Indications for consideration of intracranial pressure monitoring Indications

• GCS <8 and any abnormality on CT scan

• GCS <8 and a normal CT scan but any two of the following: Age >40 years

Hypotension Decerebrate posturing

Requiring general anaesthesia for treatment of other injuries Requiring treatment likely to increase ICP, e.g. high levels of PEEP

Contraindications

• Coagulopathy

ICP monitoring should be continued:

• As long as the ICP is elevated

• During active management of ICP

• For up to 3 days in the absence of significant elevation

P.507

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